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Kumari P, Kumar R, Rohilla J. Sexual dysfunction, marital relationship, and subjective quality of life among women with schizophrenia: Analytical case-control study. Indian J Psychiatry 2024; 66:280-286. [PMID: 39100124 PMCID: PMC11293288 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_346_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 09/08/2023] [Accepted: 02/26/2024] [Indexed: 08/06/2024] Open
Abstract
Background Women with schizophrenia have a high risk of adverse sexual health outcomes. The chronic course of schizophrenia draws attention to assessing the quality of life and marital relationships of patients with schizophrenia. However, there is a crunch of data in the Indian setting. This study aimed to investigate the prevalence of sexual dysfunctions (SDs) and determine the marital relationship and quality of life among women with schizophrenia. Material and Methods The study followed an analytical case-control design. The study was conducted at the inpatient psychiatric department of one of the apex tertiary healthcare centers located at the foothills of the Northern Himalayas. The study purposively included 136 participants (68 cases and 68 controls). The control group included healthy women aged 18-45 currently staying with sexual partners. Data were collected using pretested and standardized self-report questionnaires. Results The median age of the case group was 36 (interquartile range (IQR), 29-42) years, while that of the control group was 29 (IQR 26-34) years. The prevalence of SD was significantly higher (P = 0.001) in cases (95.3%) than in controls (73.4%). Compared to healthy controls, women with schizophrenia have a significantly higher rate of SD in sexual desire (P = 0.001), getting arousal (P < 0.001), lubrication (P < 0.001), achieving orgasm (P < 0.001), and sexual satisfaction (P < 0.001) (except pain). In addition, the marital relationship was better managed (P < 0.001) in healthy controls compared with cases. The healthy control group significantly expressed a better quality of life in physical (P < 0.001), psychological (P < 0.001), and maintaining social (P < 0.001) relationships (except environment domains). In multivariable logistic regression analysis, employment status significantly predicted SDs (odds ratio (OR), 25.78; 95% confidence interval (CI), 2.09, 318.10; P < 0.05) in participants. Conclusion The prevalence of SD is significantly high among female participants. Hence, treating physicians should pay attention to sexual function during the screening and treatment of patients with schizophrenia.
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Affiliation(s)
- Puja Kumari
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
| | - Rajesh Kumar
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
| | - Jitendra Rohilla
- Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
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Pasqualotto L, Riccetto C, Biella AF, Marques J, Pereira LC, Alves FK, Lunardi ALB, de Vasconcelos Adami DB, Nagib A, Martinho N, Piccini A, Sathler T, Silva VR, Botelho S. Impact of pelvic floor muscle strength on female sexual function: retrospective multicentric cross-sectional study. Int Urogynecol J 2022; 33:1591-1599. [DOI: 10.1007/s00192-021-05032-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 10/27/2021] [Indexed: 10/19/2022]
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Kaya HD, Yılmaz T, Günaydın S, Çalımlı EN, Sadeghi E. Sexual myths during pregnancy: a comparative study. J OBSTET GYNAECOL 2021; 42:587-593. [PMID: 34382486 DOI: 10.1080/01443615.2021.1931826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study was conducted to determine the prevalence of sexual myths during pregnancy among pregnant women in Turkey and Iran and to compare the similarities and differences between the countries. This is a comparative and descriptive study. The sample included 200 pregnant women from Turkey and Iran. The data were collected using the Descriptive Information Form and Sexual Myths During Pregnancy Form. It was determined that the women in Turkey agreed more with statements, such as 'the infant feels sexual intercourse', 'the infant becomes happy and healthy', 'sexual intercourse during pregnancy is safe'. As for pregnant women in Iran, it was determined that they were more hesitant to agree with statements, such as 'sexual intercourse is a sin' and 'sexual intercourse causes infections'. In both countries, education on sexuality during pregnancy is needed to eliminate information deficiencies.Impact StatementWhat is already known on this subject? Sexual myths during pregnancy are exaggerated beliefs with no scientific accuracy. These beliefs affect the attitudes and behaviours related to sexuality during pregnancy.What do the results of this study add? This study has revealed that sexual myths during pregnancy are common among pregnant women in Turkey and Iran, and there are similarities and differences between the countries in terms of myths.What are the implications of these findings for clinical practice and/or further research? Healthcare professionals should question pregnant women about sexuality during pregnancy, identify missing and incorrect information, and provide counselling.
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Affiliation(s)
- Hüsniye Dinç Kaya
- Department of Midwifery, Istanbul University-Cerrahpasa Faculty of Health Sciences, Istanbul, Turkey
| | - Tülay Yılmaz
- Department of Midwifery, Istanbul University-Cerrahpasa Faculty of Health Sciences, Istanbul, Turkey
| | - Sevil Günaydın
- Department of Midwifery, Istanbul University-Cerrahpasa Faculty of Health Sciences, Istanbul, Turkey
| | - Emine Nur Çalımlı
- Zeynep Kamil Maternity and Children's Diseases Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Elham Sadeghi
- Istinye University, Health Sciences Faculty, Istanbul, Turkey
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Milić Vranješ I, Jakab J, Ivandić M, Šijanović S, Zibar L. FEMALE SEXUAL FUNCTION OF HEALTHY WOMEN IN EASTERN CROATIA. Acta Clin Croat 2019; 58:647-654. [PMID: 32595250 PMCID: PMC7314299 DOI: 10.20471/acc.2019.58.04.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The aim was to evaluate sexual function of healthy women in Croatia and the possible impact of depression, anxiety, and sociodemographic factors. A total of 204 healthy women filled in a basic sociodemographic questionnaire, the Patient Health Questionnaire-9, Anxiety Disorder-7, and Female Sexual Function Index (FSFI). Almost half of study subjects (47.1%) reported at least some degree of sexual dysfunction defined as an FSFI score lower than 26.55. Study results suggest sexual dysfunction of women in Croatia as a still unrecognized problem. More room in research and in the public must be given to this issue.
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Affiliation(s)
| | - Jelena Jakab
- 1Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Gynecology and Obstetrics, Osijek University Hospital Centre, Osijek, Croatia; 3Department of Pathophysiology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 4Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Nephrology, Osijek University Hospital Centre, Osijek, Croatia
| | - Marul Ivandić
- 1Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Gynecology and Obstetrics, Osijek University Hospital Centre, Osijek, Croatia; 3Department of Pathophysiology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 4Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Nephrology, Osijek University Hospital Centre, Osijek, Croatia
| | - Siniša Šijanović
- 1Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Gynecology and Obstetrics, Osijek University Hospital Centre, Osijek, Croatia; 3Department of Pathophysiology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 4Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Nephrology, Osijek University Hospital Centre, Osijek, Croatia
| | - Lada Zibar
- 1Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Gynecology and Obstetrics, Osijek University Hospital Centre, Osijek, Croatia; 3Department of Pathophysiology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 4Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Nephrology, Osijek University Hospital Centre, Osijek, Croatia
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Akyuz MD, Turfan EC, Oner SC, Sakar T, Aktay DM. Sexual functions in pregnancy: different situations in near geography:a case study on Turkey, Iran and Greece. J Matern Fetal Neonatal Med 2018; 33:222-229. [PMID: 29890872 DOI: 10.1080/14767058.2018.1488164] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Purpose: This descriptive and cross-sectional study aims to determine the sexual function status of primipar and multipar pregnant women who admitted to birth clinics in Iran, Turkey and Greece and to investigate the relationship between pregnancy processes and some variables.Methodology: This descriptive and cross-sectional study population consisted of primipar/multipar pregnant women who met the research inclusion criteria, agreed to participate in the research and admitted to the Tabriz Pars Clinic in Iran, Izmir Aegean Maternity Hospital in Turkey and Thessaloniki University Hospital in Greece.Results: When the sexual problems of women are compared according to their countries,it was determined that 40% of Iranian women "can't easily share their sexuality issues with their spouses", whereas this rate was 8% in Turkey and 6.7% in Greece.Considering the prevalence of orgasmic and arousal disorder in the pre-pregnancy period,it was reported that this rate was 53% in Iran, 47% in Greece and 5.6% in Turkey.In the study, the mean "Female Sexual Function Index(FSFI)" score of Turkish women was found to be (59.83 ± 21.75), whereas the FSFI score of Iranian women was (62.86 ± 22.71) and mean FSFI score of the Greek women was (54.33 ± 21.15).Discussion: In the study, it was shown that there is a difference in the sexual problems of the women, depending on the religious and socio-cultural structure of the country they live in. For an effective case and training on sexuality,the norms and values of the society have to be understood in order to raise quality of lives and problem-free sexuality of pregnant women.
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Affiliation(s)
- Mahide Demireloz Akyuz
- Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Bornova, Izmir Turkey
| | - Esin Ceber Turfan
- Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Bornova, Izmir Turkey
| | - Serap Cetintas Oner
- Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Bornova, Izmir Turkey
| | - Tugce Sakar
- Department of Midwifery, Faculty of Health Sciences, Ataturk University, Erzurum, Turkey
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Effects of Withania somnifera on Reproductive System: A Systematic Review of the Available Evidence. BIOMED RESEARCH INTERNATIONAL 2018; 2018:4076430. [PMID: 29670898 PMCID: PMC5833251 DOI: 10.1155/2018/4076430] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2017] [Accepted: 12/07/2017] [Indexed: 01/04/2023]
Abstract
Introduction Withania somnifera (WS) also known as ashwagandha is a well-known medicinal plant used in traditional medicine in many countries for infertility treatment. The present study was aimed at systemically reviewing therapeutic effects of WS on the reproductive system. Methods This systematic review study was designed in 2016. Required data were obtained from PubMed, Scopus, Google Scholar, Cochrane Library, Science Direct, Web of Knowledge, Web of Science, and manual search of articles, grey literature, reference checking, and expert contact. Results WS was found to improve reproductive system function by many ways. WS extract decreased infertility among male subjects, due to the enhancement in semen quality which is proposed due to the enhanced enzymatic activity in seminal plasma and decreasing oxidative stress. Also, WS extract improved luteinizing hormone and follicular stimulating hormone balance leading to folliculogenesis and increased gonadal weight, although some animal studies had concluded that WS had reversible spermicidal and infertilizing effects in male subjects. Conclusion WS was found to enhance spermatogenesis and sperm related indices in male and sexual behaviors in female. But, according to some available evidences for spermicidal features, further studies should focus on the extract preparation method and also dosage used in their study protocols.
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